CPT code 64787: Nerve-end implantation, into muscle or bone2026 Medicare rate & RVUs in Virginia

Reports placement of a divided nerve end into nearby muscle or bone as an additional step during qualifying surgery, often to manage a neuroma.

CMS RVU26DEffective Oct 1, 2026One payment locality691 Medicare services in 2024

In Virginia, Medicare pays $195.72 for 64787 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$195.72Hospital or facility

Check a contract rate as a % of Medicare · 64787 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 64787 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 64787 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 64787 covers

The surgeon places a divided nerve end into muscle or bone, commonly when treating a symptomatic neuroma or managing a nerve stump during another nerve procedure. The operative report should identify the nerve and site, describe the implantation and its destination, and document the related primary procedure. This work is typically performed in an operating room by a surgeon treating peripheral nerve conditions.

Code 64787 is an add-on, not a stand-alone service: report it only with an eligible primary procedure. CMS pays it within the primary procedure’s global period, so it is not separately paid as a service outside that period. The documentation should distinguish the nerve-end implantation from the primary excision or other nerve work. Identify the primary code and explain why the nerve end was implanted rather than simply documenting nerve division or removal.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Virginia compares for 64787

Across 109 of 109 payment localities, the facility rate for 64787 runs from $184.77 in Wisconsin to $264.85 in Alaska. Virginia pays $195.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

64787 in Virginia vs other payment areas
  1. Virginia · this page$195.72
  2. Los Angeles, CA · California$208.20+$12.48
  3. Washington, DC area · District of Columbia$221.07+$25.35
  4. Miami, FL · Florida$243.65+$47.93
  5. Chicago, IL · Illinois$237.36+$41.64
  6. Manhattan, NY · New York$233.69+$37.97
  7. Alaska · Alaska$264.85+$69.13

Other areas in Virginia first, then benchmark localities. Bars start at $0.

Every other payment area

64787 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$187.99
ArkansasArkansas—$186.09
ArizonaArizona—$198.93
Bakersfield, CACalifornia—$200.35
Chico, CACalifornia—$198.25
El Centro, CACalifornia—$198.37
Fresno, CACalifornia—$198.25
Hanford, CACalifornia—$198.25

64787 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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64787 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 64787 in every payment locality

How the 64787 rate is calculated

Each of 64787’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 64787

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.18

4.18 RVUs× 1.000 GPCI

Practice expense1.17

1.17 RVUs× 1.000 GPCI

Malpractice0.75

0.75 RVUs× 1.000 GPCI

Adjusted RVUs

6.1000

Conversion factor

$33.4009

Medicare rate

$203.75

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

7,236

Code
64787
Physician work
4.18
Practice expense
1.17
Malpractice
0.75

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Facility calculation for 64787 in Virginia
ComponentRVULocality factorAdjusted
Physician work4.18× 1.0004.1800
Practice expense1.17× 0.9831.1501
Malpractice0.75× 0.7060.5295
Total RVUs5.8596
Conversion factor× 33.4009

Facility rate, Virginia$195.72

Facility: (4.18 × 1 + 1.17 × 0.983 + 0.75 × 0.706) × $33.4009 = $195.72

Open 64787 in the RVU calculator

Payment rules and modifiers for 64787

The CMS indicators that decide how 64787 is paid alongside other services.

CMS payment indicators · 64787

Nerve-end implantation, into muscle or bone

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 64787 has changed in Virginia

64787 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$195.72RVU26D
2026-07-01Not available in this setting$195.72RVU26C
2026-04-01Not available in this setting$195.72RVU26B
2026-01-01Not available in this setting$195.72RVU26A
2025-10-01Not available in this setting$220.85RVU25D
2025-07-01Not available in this setting$220.85RVU25C
2025-04-01Not available in this setting$220.85RVU25B
2025-01-01Not available in this setting$220.85RVU25A
2024-10-01Not available in this setting$224.25RVU24D
2024-07-01Not available in this setting$224.25RVU24C
2024-04-01Not available in this setting$224.25RVU24B
2024-03-09Not available in this setting$224.25RVU24AR
2024-01-01Not available in this setting$220.59RVU24A
2023-10-01Not available in this setting$231.96RVU23D
2023-07-01Not available in this setting$231.96RVU23C
2023-04-01Not available in this setting$231.96RVU23B
2023-01-01Not available in this setting$231.96RVU23A
2022-10-01Not available in this setting$239.64RVU22D
2022-07-01Not available in this setting$239.64RVU22C
2022-04-01Not available in this setting$239.64RVU22B
2022-01-01Not available in this setting$239.64RVU22A
2021-10-01Not available in this setting$242.77RVU21D
2021-07-01Not available in this setting$242.77RVU21C
2021-04-01Not available in this setting$242.77RVU21B
2021-01-01Not available in this setting$242.77RVU21A
2020-10-01Not available in this setting$248.19RVU20D
2020-07-01Not available in this setting$248.19RVU20C
2020-04-01Not available in this setting$248.19RVU20B
2020-01-01Not available in this setting$248.19RVU20A
2019-10-01Not available in this setting$247.60RVU19D
2019-07-01Not available in this setting$247.60RVU19C
2019-04-01Not available in this setting$247.60RVU19B
2019-01-01Not available in this setting$247.60RVU19A
2018-10-01Not available in this setting$248.04RVU18D
2018-07-01Not available in this setting$248.04RVU18C
2018-04-01Not available in this setting$248.04RVU18B
2018-01-01Not available in this setting$248.04RVU18AR1
2017-10-01Not available in this setting$247.92RVU17D
2017-07-01Not available in this setting$247.92RVU17C
2017-04-01Not available in this setting$247.92RVU17B
2017-01-01Not available in this setting$247.92RVU17A
2016-10-01Not available in this setting$245.87RVU16D
2016-07-01Not available in this setting$245.87RVU16C
2016-04-01Not available in this setting$245.87RVU16B
2016-01-01Not available in this setting$245.87RVU16A
2015-10-01Not available in this setting$248.88RVU15D
2015-07-01Not available in this setting$248.88RVU15C
2015-04-01Not available in this setting$247.64RVU15B
2015-01-01Not available in this setting$247.64RVU15A
2014-10-01Not available in this setting$243.06RVU14D
2014-07-01Not available in this setting$243.06RVU14C
2014-04-01Not available in this setting$243.06RVU14B
2014-01-01Not available in this setting$243.06RVU14A
2013-10-01Not available in this setting$235.67RVU13D
2013-07-01Not available in this setting$235.67RVU13C
2013-04-01Not available in this setting$235.67RVU13B
2013-01-01Not available in this setting$235.67RVU13AR

Price 64787 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

64787 billing questions

Can 64787 be reported by itself?

No. It is an add-on code and must be reported with an eligible primary procedure.

Is nerve-end implantation included in the neuroma excision?

The implantation is additional work when the nerve end is placed into muscle or bone. Document that step separately from the neuroma excision or other primary nerve procedure.

What should the operative report document?

Name the nerve and operative site, describe the placement of its end, identify whether it was implanted into muscle or bone, and state the related primary procedure.

How does the global-period payment rule affect 64787?

CMS pays this add-on within the primary procedure’s global period. It is not paid as a separate service outside that period.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 64787PPRRVU2026_Oct_nonQPP.csv, line 7,236 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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